Divine Pharmacy Llc
Community/Retail Pharmacy
16191 Livernois Avenue, Detroit
Michigan, 48221
313-651-9059 Divine Pharmacy Llc is a Community/Retail Pharmacy in Detroit, Michigan. It is located at 16191 Livernois Avenue, Detroit and it's customer support contact number is 313-651-9059. The authorized person of Divine Pharmacy Llc is Remy Onimoe who is Owner of the pharmacy and his contact number is 734-657-1727. Active license number of Divine Pharmacy Llc is 5301010794 for Community/Retail Pharmacy in Michigan. Divine Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Divine Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Divine Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Divine Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 16191 Livernois Avenue, Detroit,
Michigan, 48221 |
| Phone: | 313-651-9059 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Remy Onimoe |
| Position: | Owner |
| Contact Number: | 734-657-1727 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1003273202 |
| NPI Enumeration Date: | 20 Jan, 2016 |
| NPI Last Update On: | 07 Dec, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divine Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301010794 | Michigan | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2157415 | Other | | Pk |
| 1003273202 | Medicaid | Michigan | |
Medicare Enrollment:
Divine Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5496027930 | O20170818000757 | Divine Pharmacy Llc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 16191 Livernois Avenue,
Detroit, Michigan |
| Zip: | 48221-3724 |
| Phone Number: | 313-651-9059 |
| Fax Number: | 313-659-6965 |
Patients can reach Divine Pharmacy Llc at
16191 Livernois Avenue, Detroit, Michigan or can
call on customer care at 313-651-9059.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.